Individual provider Active NPI

Ka Wing Lee

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1821600057
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0824 Issued in NV
Practice address
6671 Las Vegas Blvd S Unit 210
Las Vegas, NV 89119-3289
Phone
(310) 406-1500
Fax
(310) 406-1531
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X
Behavior Analyst 103K00000X LBA0824 NV Primary

Addresses

Primary practice location

6671 Las Vegas Blvd S Unit 210
Las Vegas, NV 89119-3289

Mailing address

154 Elm Reed Ave
Las Vegas, NV 89148-2841
Phone (626) 348-9193

Other identifiers 1

IdentifierTypeStateIssuer
BACB585126OtherNVRBT PARAPROFESSIONAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL olee@baetherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LBA0824NVMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1821600057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ELM REED AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482841",
            "telephone_number": "626-348-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S UNIT 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193289",
            "telephone_number": "310-406-1500",
            "fax_number": "310-406-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KA WING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT PARAPROFESSIONAL",
            "identifier": "BACB585126",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "olee@baetherapy.com",
            "affiliation": "N",
            "address_1": "6671 Las Vegas Blvd S Unit 210",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891193289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.